Patrick Hunter, MD @PatrickHunterMD
Pediatrician, practicing medicine slowly, with great caution, and only when necessary Florida, USA Joined July 2021-
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@LeorSapir Following Justice Brown’s reasoning, Justice Thomas could declare himself a woman. Just for a day. Gender is fluid after all. Suddenly the Supreme Court is majority women for the first time. History is made. I wonder how Justice Brown would respond.
@BriannaWu @CoreyWriting How do we describe a person who transitioned & regrets what was done to them? How do we describe what occurred? Were they once transgender and now not? Or trans-identified and now no longer identify that way? The people I know say they were trans-identified & now no longer are.
@ShannonBDouglas @GogirlCa She’s uncomfortable because she has to side with ideology and politics or evidence and patient safety. The days when one doesn’t have to pick sides are coming to an end.
@ibluba @JuliaMasonMD1 @benryanwriter Our profession and society at large misled them. We admit that our profession lied to and failed them. And we keep them — as best we can — from harm. This must end.
@ibluba @JuliaMasonMD1 @benryanwriter You want to do the right thing. But intent alone does’t make an act ethical or good. The road to hell is paved with good intentions and sadly many of these kids have been led to their own personal hell.
This begs the question. Why is this treatment offered? Evidence of benefit is lacking. Harms are predictable & evidence based. Reason & common sense (wisdom) always suggested this was a bad idea. Loss of sexual function, infertility, medical complications & worsening mental health is not acceptable.
It’s much easier to lose someone’s trust than to gain it back. Trust can easily be lost en masse. We’ve clearly seen that happen. And it can only be gained back one person at a time. My profession deservedly lost the public’s trust. Gender ideology is the worst example of how we’ve lost trust. Keep fighting, Erin.
That’s a big blanket. Lots of vulnerable kids are at risk because of the AAP’s policy.
The @AmerAcadPeds says its policy isn’t a “blanket recommendation” for surgery. The AAP says surgery, including genital surgery, can be “pursued” on a case-by-case basis. Case-by-case, one person at a time, is how medicine is practiced. There is no other way.
When asked about the @ASPS_News that recognizes the lack of evidence and harms of hormones & surgery, the @AmerAcadPeds says politicians shouldn’t make decisions. The ASPS is a medical organization. Instead of engaging with legitimate concerns the AAP deflects & doubles down.
Gordon Guyatt admits he knows little about gender medicine, except for the low quality evidence. While patient autonomy is important, so is beneficence. Medicine should help, not harm. Here are a few other ethical values worth considering. —JUSTICE, as in honesty, kindness, and proper treatment of others —PRUDENCE, or wise and cautious judgement —MODERATION, as in humility and self control Gender medicine lacks these and other values. Maybe gender ideology is bigger than medicine. Maybe it’s a societal problem. We need to return to core values that make for a well ordered society.
Me: You signed a statement calling “gender affirming care” for youth medically necessary. Guyatt: WHAT!? That’s RIDICULOUS. I would never say that. Me: *produces the receipt Guyatt: Oh, I didn’t read that part. I’m a dope. Unbelievable.
@rreactor @Brink_Thinker You brought back wonderful memories. We used a lawnmower to mow the field, then lowered the blade to cut base paths. We tried building a pitcher’s mound with dirt but it never quite worked out. It felt like a major league ballpark. And no adult supervision with the lawnmower.
In Alex Bakker's 2021 book The Dutch Approach (p. 113), Peggy Cohen-Kettenis, the Dutch psychologist who first used puberty blockers, shares her perspective on the WPATH guidelines, known then as HBIGDA. She said: “In 1978, the Standards of Care...consisted of five pages largely addressing surgery and predominately intended to cover the backs of American plastic surgeons in case of claims.” From the start, its clear that gender ideology was a political, social, and legal movement. Doctors, surgeons, and psychologists more focused on shielding themselves from liability than the well-being of vulnerable youth. The same is true today. The term “standard of care” is used not to safeguard children, but to protect the professionals involved. It's time for these practices to end.
Doctors have never been good at the existential and transcendental, death being the prime example. Maybe that’s why some of us support euthanasia and suicide. Struggling with your sex is an existential issue. The TRUTH is hormones and surgery won’t address the issue.
This morning an op-ed was published in the @nytimes about detransion, yet no op-ed written by a detansitioner has been published. A dear friend said about the article, “gender ideology involves existential issues we humans have always struggled with, the first of those is
This morning an op-ed was published in the @nytimes about detransion, yet no op-ed written by a detansitioner has been published. A dear friend said about the article, “gender ideology involves existential issues we humans have always struggled with, the first of those is truth” The author- a trans identified woman refers to herself as a father of a 5 year old in the piece. We know she is not. I also know, as my former spouse has detransitioned, that children cannot continue to be the collateral damage. Children should never be medically transitioned and should never be lied to about reality. We own them truth. @PatrickHunterMD @rentedocean
@chloecole @JRobFreedom Agree with you, Chloe. This is an existential issue. The money follows the ideology. Gender ideology causes societal institution like medicine, schools, and others to question foundational truths like male and female. Gender ideology denial of the truth leads too many to harm.
@LGBCourage And today, Yale University. ctinsider.com/connecticut/ar…
Genspect @genspect
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